Bradley, John G

Bradley, John G is an individual health care provider with primary practice located at 250 W Kenwood Ave , Decatur IL 62526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradley, John G can be contacted via phone (217) 876-5800.

Contact Information

Primary practice address
250 W Kenwood Ave Decatur IL 62526
Phone: (217) 876-5800
Fax: (217) 876-5822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1508843236
LBN Legal business name Bradley, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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